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WP0041230
EnvironmentalHealth
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MUNFORD
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041230
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Entry Properties
Last modified
11/17/2021 11:45:50 AM
Creation date
9/30/2020 8:11:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041230
PE
4373
STREET_NUMBER
3800
Direction
E
STREET_NAME
MUNFORD
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
17956011
ENTERED_DATE
9/15/2020 12:00:00 AM
SITE_LOCATION
3800 E MUNFORD AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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Borehole.Specifications - Certification Statements <br /> Depth from I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 09/23/2020 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> D11R Use`Only <br /> CSG# State Well Number Site Code Local Well Number <br /> N JW <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of 2 <br />
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